Chaudhary Charan Singh University, Meerut [ Computer Copy ]

Examination Form for "U.G. & P.G." Class, Session 2019-20

1. Course Applied For : B.Tech. (Chemical Engineering)

2. College Name : SIR CHHOTU RAM INSTITUTE OF ENGG. & TECH., CCS UNIV.
CAMPUS, MEERUT
3. Roll No. : 100160637 4. Enrolment No. : M17350689
Form No:200600193
5. Semester : VIIIth Semester 6. Type of Exam : Main Exam
7. Name of the Student : SUMAN KUMAR JHA
8. Father`s Name : SUSHIL JHA
9. Mother`s Name : REENA DEVI
10. Date of Birth : 08/10/1998 11. Gender : Male
12. Caste : General 13. Kashmiri Residents : No
14. Physically Handicapped : No
15. State from where Intermediate/ +2 passed : Delhi
16. Do you have Domicile Certificate of U.P. State : No
17. Length of Residence in U.P :
18. Permanent Address : H NO.227A GALI NO 5 CHANDAN PARK SIRASPUR, Signature of Student
DELHI, NORTH WEST, DELHI, Pin : 110042
19. Correspondence Address : H NO.227A GALI NO 5 CHANDAN PARK
SIRASPUR, DELHI, NORTH WEST, DELHI, Pin : 110042
20. Mobile No.(Student) : 7838314634 Signature of Parents
21. Mobile No.(Parents) : 9560974652
22. Email ID : Sumankumarjha0150@gmail.com

23. Name of Subjects

S.No. Name of the Papers Code No.
1 Renewable energy resources BT-806
2 Fertilizer Technology BT-826
3 Petrochemical Technology BT-827
4 Seminar BT-876
5 Project BT-877
6
7
8
9
10

Page 1/4
Course : B.Tech. (Chemical Engineering)
Semester : VIIIth Type of Exam : Main Exam From No. : 200600193

24. Give details of results of the previous semester

Part/Sem Roll No. Year Obtained Marks Maximum Marks Result
7 100160637 4TH 857 1000 PASS
25. Description of Examination:
Name of Examination Year Name of the School/College Roll No. Mrks obt. Max. Mrks Division
Board/University Name
High School 2014 C.B.S.E ADARSH SENIOR 8676056 370 500 Ist
SECONDARY
SCHOOL
Polytechnic 2017 B.T.E. DELHI GURU NANAK DEV 1404031050 1298 2060 Ist
INSTITUTE OF
TECHNOLOGY
ROHINI DEL
Graduation
Post Graduation
26. Whether you were punished for any offence/unfair means in the previously attended or the present institution, if yes, then provide the following
information
Name of the Class : Name of Institution :
Roll No : Year : Punishment Details :
27. If last examination is passed from other University/Board fill the following details :
a. Migration Certificate Submitted :
b. University/Board :
c. Exam : d. Year : e. Migration Certificate No.:
28. Participation in Sports : None of Above

Declaration/ Undertaking
I SUMAN KUMAR JHA(200600193) declare that i am fully aware of the rules and eligibility criterion of the examinations. The form has been filled by
me and I am fully responsible for each and every entry in the form. If any entry is found to be wrong/false/ forge, my examination form/admission may
be cancelled at any time. I am abide by the code of conduct and rules and regulations of the Institute/ University.

Detail of Examination Fee

Total Fees : 910
Transaction No. : CCSU-091D05C5113A564-1
Date : 29/06/2020
Payment Status : PAID

Date:___________________

Place:___________________ (Full Signature of the Applicant)

Certificate of the Principal

All the entries in the exam from, marksheets and other certificates attached have been duly checked and this is certified
that he/she is eligible for examination as per university rule and his/her examination form is being forworded.

Date:___________________

Checked by Name and Signature :___________________

Signature Head/Coordinator :___________________ (Full Signature of the Principal with stamp)

Page 2/4
 Chaudhary Charan Singh University, Meerut [ University Copy ]
Examination Form for "U.G. & P.G." Class, Session 2019-20

1. Course Applied For : B.Tech. (Chemical Engineering)

2. College Name : SIR CHHOTU RAM INSTITUTE OF ENGG. & TECH., CCS UNIV.
CAMPUS, MEERUT
3. Roll No. : 100160637 4. Enrolment No. : M17350689
Form No:200600193
5. Semester : VIIIth Semester 6. Type of Exam : Main Exam
7. Name of the Student : SUMAN KUMAR JHA
8. Father`s Name : SUSHIL JHA
9. Mother`s Name : REENA DEVI
10. Date of Birth : 08/10/1998 11. Gender : Male
12. Caste : General 13. Kashmiri Residents : No
14. Physically Handicapped : No
15. State from where Intermediate/ +2 passed : Delhi
16. Do you have Domicile Certificate of U.P. State : No
17. Length of Residence in U.P :
18. Permanent Address : H NO.227A GALI NO 5 CHANDAN PARK SIRASPUR, Signature of Student
DELHI, NORTH WEST, DELHI, Pin : 110042
19. Correspondence Address : H NO.227A GALI NO 5 CHANDAN PARK
SIRASPUR, DELHI, NORTH WEST, DELHI, Pin : 110042
20. Mobile No.(Student) : 7838314634 Signature of Parents
21. Mobile No.(Parents) : 9560974652
22. Email ID : Sumankumarjha0150@gmail.com

23. Name of Subjects

S.No. Name of the Papers Code No.
1 Renewable energy resources BT-806
2 Fertilizer Technology BT-826
3 Petrochemical Technology BT-827
4 Seminar BT-876
5 Project BT-877
6
7
8
9
10

Page 3/4
Course : B.Tech. (Chemical Engineering)
Semester : VIIIth Type of Exam : Main Exam From No. : 200600193

24. Give details of results of the previous semester

Part/Sem Roll No. Year Obtained Marks Maximum Marks Result
7 100160637 4TH 857 1000 PASS
25. Description of Examination:
Name of Examination Year Name of the School/College Roll No. Mrks obt. Max. Mrks Division
Board/University Name
High School 2014 C.B.S.E ADARSH SENIOR 8676056 370 500 Ist
SECONDARY
SCHOOL
Polytechnic 2017 B.T.E. DELHI GURU NANAK DEV 1404031050 1298 2060 Ist
INSTITUTE OF
TECHNOLOGY
ROHINI DEL
Graduation
Post Graduation
26. Whether you were punished for any offence/unfair means in the previously attended or the present institution, if yes, then provide the following
information
Name of the Class : Name of Institution :
Roll No : Year : Punishment Details :
27. If last examination is passed from other University/Board fill the following details :
a. Migration Certificate Submitted :
b. University/Board :
c. Exam : d. Year : e. Migration Certificate No.:
28. Participation in Sports : None of Above

Declaration/ Undertaking
I SUMAN KUMAR JHA(200600193) declare that i am fully aware of the rules and eligibility criterion of the examinations. The form has been filled by
me and I am fully responsible for each and every entry in the form. If any entry is found to be wrong/false/ forge, my examination form/admission may
be cancelled at any time. I am abide by the code of conduct and rules and regulations of the Institute/ University.

Detail of Examination Fee

Total Fees : 910
Transaction No. : CCSU-091D05C5113A564-1
Date : 29/06/2020
Payment Status : PAID

Date:___________________

Place:___________________ (Full Signature of the Applicant)

Certificate of the Principal

All the entries in the exam from, marksheets and other certificates attached have been duly checked and this is certified
that he/she is eligible for examination as per university rule and his/her examination form is being forworded.

Date:___________________

Checked by Name and Signature :___________________

Signature Head/Coordinator :___________________ (Full Signature of the Principal with stamp)

Page 4/4